go back

Louisiana rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.25 / $279.20 / $654.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.50 / $207.27 / $300.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.45 / $537.19 / $755.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $256.50 / $256.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $274.27 / $274.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.65 / $180.23 / $238.76